Question

A patient is prescribed apixaban 5mg BD for atrial fibrillation. They inadvertently take an extra dose of apixaban 5mg one evening, meaning they have taken 10mg within a few hours instead of their usual 5mg dose. They call for advice, feeling well with no bleeding. According to the BNF, what is the most appropriate advice?

Accepted Answer

Continue with the normal dosing schedule, taking the next dose as usual in the morning.

Answer

Go to A&E immediately for assessment and possible reversal agent.

Answer

Skip the next scheduled dose (morning) and then resume normal dosing.

Answer

Take half the next scheduled dose (2.5mg in the morning).

Answer

Take an extra dose of vitamin K.

Practice question